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Organization

WESTERN MARYLAND EYE SURGICAL CENTER,PHILIP MCGANN, M.D., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP JOHN MCGANN M.D. (MEDICAL DIRECTOR)
(301) 662-3721
Entity
Organization

Contact information

Practice address
1003 W 7TH ST, SUITE 400, FREDERICK, MD 21701-4106
(301) 662-3721
(301) 698-8164
Mailing address
1003 W 7TH ST, SUITE 400, FREDERICK, MD 21701-4106
(301) 662-3721
(301) 698-8164

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
D00029921
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
320281000
MD
Enumeration date
10/04/2006
Last updated
03/06/2012
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